Individual provider Active NPI

Donni T Fleischaker, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1619074358
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17503 Issued in AZ
Practice address
3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600
Phone
(602) 569-5437
NPI assigned
Sep 17, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17503 AZ
Mental Health Counselor 101YM0800X 17503 AZ
Psychologist 103T00000X 17503 AZ
Cognitive & Behavioral Psychologist 103TB0200X 17503 AZ
Family Medicine Physician 207Q00000X 17503 AZ Primary
Pediatrics Physician 208000000X 17503 AZ

Addresses

Primary practice location

3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600

Mailing address

3201 W Peoria Ave Ste D805
Phoenix, AZ 85029-4600
Phone (480) 277-5743

Other identifiers 9

IdentifierTypeStateIssuer
1902518988OtherAZASSOCIATED NPI NOVA MEDICAL ASSOCIATES
4077245OtherAZAETNA
70441OtherPACIFICARE
279168OtherAZDES
279168003MedicaidAZ
AZ0864000OtherAZBCBS
1Z7395OtherAZHEALTHNET
3324076-007OtherAZCIGNA
Z290542MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418001835 AZ Practitioner - Pediatric MedicinePractitioner - Family Practice 9931574241 Reassigns benefits to 1 organization
Receives reassigned benefits from 7 practitioners
Practice locations: Mesa, AZ; Peoria, AZ; Phoenix, AZ; Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizon Medical Center LLCGroup PAC ID 9436528775, 2 clinicians

Practice addresses (Care Compare)

3201 W Peoria Ave
Suite D805
Phoenix, AZ 85029-4600
Phone (602) 569-5437

4540 E Baseline Rd
Suite 119
Mesa, AZ 85206-4617
Phone (480) 796-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17503AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Donni Fleischaker MD, PLLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
New Horizon Medical Center, LLC Single Specialty CurrentSince Apr 19, 2025 Accepting new patients
Canyon Pediatrics, Inc Family Medicine Past Accepting new patients

Locations

3201 W Peoria Ave
Ste D805
Phoenix, AZ 85029
Phone (602) 569-5437

3933 E Edna Ave
Ste 102
Phoenix, AZ 85032
Phone (602) 569-5437

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1619074358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D805",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294600",
            "telephone_number": "480-277-5743",
            "fax_number": "855-583-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D805",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294600",
            "telephone_number": "602-569-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHAKER",
        "first_name": "DONNI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "17503",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "17503",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "17503",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "17503",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17503",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "17503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED NPI NOVA MEDICAL ASSOCIATES",
            "identifier": "1902518988",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4077245",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "70441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DES",
            "identifier": "279168",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279168003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0864000",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7395",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3324076-007",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z290542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.